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EDWARD KOWALCZYK

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760534937

Individual Registrant:
 EDWARD  KOWALCZYK 
Gender: M
Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: --

Contact information for business:
1246 W MAGILL AVE  FRESNO, CA 93711-1427 US
Tel: 559-447-9546  Fax: --

Registration Information:
NPI: 1760534937
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC23477

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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